Organization
PEZZELLA FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVATORE ROBERT PEZZELLA DMD (DENTIST/ OWNER)
(860) 966-3564
Entity
Organization
Contact information
Practice address
901 TYRONE BLVD N, SAINT PETERSBURG, FL 33710-6332
(860) 966-3564
Mailing address
1637 COUNTRY WALK DR, FLEMING ISLE, FL 32003-8614
(860) 966-3564
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN20846
FL
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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